Hart, Eileen A.

Hart, Eileen A. is an individual health care provider with primary practice located at 1126 S Main St , Dayton OH 45409-2687. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Hart, Eileen A. can be contacted via phone (937) 223-3053.

Contact Information

Primary practice address
1126 S Main St Dayton OH 45409-2687
Phone: (937) 223-3053
Fax: (937) 853-0166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN 255687 Ohio

Profile Details

NPI number 1891754032
LBN Legal business name Hart, Eileen A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jan 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891754032 NPPES
Ohio MEDICAID 2315453

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